Your results
Total PSA is 9.0 which is high
Free PSA is 1.9 which is also elevated
Ratio 0.20 and your age 60 years which is considered normal and lower the need of surgical biopsy.
Because there are many other conditions, such as an enlarged or inflamed prostate can increase PSA levels, so that the need of biopsy is dependent on FTPSA ratio
Hope that helped you, for more information please lemme know
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